背景:在全球范围内,近三分之一的工作场所暴力(WV)发生在卫生部门。加纳医疗保健专业人员接触WV的情况被广泛推测,但是关于这个问题的证据有限。因此,这项研究调查了WV,其风险因素,以及加纳卫生工作者经历的心理后果。
方法:于2023年1月30日至5月31日在大阿克拉地区进行了一项分析性横断面研究,涉及选定的医疗机构。使用基于概率与大小成正比的简单随机抽样技术选择研究的参与者。使用STATA15软件进行数据分析。采用Logistic回归分析确定与WV,考虑P值<0.05的显著性水平。
结果:该研究是在10家公立和私立医院的607名医疗保健提供者和支持人员中进行的。一生的事业,一年暴露于任何形式的WV为414(68.2%)[95%CI:(64.3-71.9%)]和363(59.8%)[95%CI:(55.8-63.7%)],分别。与其他形式的WV相比,大多数医护人员,324人(53.4%)在过去一年内曾遭受言语辱骂,更大的比例,85(26.2%)在发生口头虐待事件后成为“超级警报”或警惕和警惕。与在过去12个月中经历任何形式的WV显著相关的因素如下:年龄[AOR=1.11(1.06,1.17)],工作经验[AOR=0.91(0.86,0.96)],具有待命责任[AOR=1.75(1.17,2.61)],并在医疗机构内感到足够安全[AOR=0.45(0.26,0.76)]。
结论:WV的发生率高,言语虐待是最有经验的WV形式。年龄,工作经验,随叫随到的职责,工作场所的安全性与WV暴露有关。迫切需要基于设施的干预措施来遏制WV的发生率,尤其是辱骂.
BACKGROUND: Globally, close to one-third of all workplace violence (WV) occurs in the health sector. Exposure to WV among healthcare professionals in Ghana has been widely speculated, but there is limited evidence on the problem. This study therefore investigated WV, its risk factors, and the psychological consequences experienced by health workers in Ghana.
METHODS: An analytic cross-sectional study was conducted in the Greater Accra region from January 30 to May 31, 2023, involving selected health facilities. The participants for the study were selected using a simple random sampling technique based on probability proportional-to-size. The data analyses were performed using STATA 15 software. Logistic regression analyses were employed to identify the factors associated with WV, considering a significance level of p-value < 0.05.
RESULTS: The study was conducted among 607 healthcare providers and support personnel across 10 public and private hospitals. The lifetime career, and one-year exposure to any form of WV was 414 (68.2%) [95% CI: (64.3-71.9%)] and 363 (59.8%) [95% CI: (55.8-63.7%)], respectively. Compared to other forms of WV, the majority of healthcare workers, 324 (53.4%) experienced verbal abuse within the past year, and a greater proportion, 85 (26.2%) became \'super alert\' or vigilant and watchful following incidents of verbal abuse. Factors significantly linked to experiencing any form of WV in the previous 12 months were identified as follows: older age [AOR = 1.11 (1.06, 1.17)], working experience [AOR = 0.91 (0.86, 0.96)], having on-call responsibilities [AOR = 1.75 (1.17, 2.61)], and feeling adequately secure within health facility [AOR = 0.45 (0.26, 0.76)].
CONCLUSIONS: There was high occurrence of WV, and verbal abuse was the most experienced form of WV. Age, work experience, on-call duties, and security within workplace were associated with exposure to WV. Facility-based interventions are urgently needed to curb the incidence of WV, especially verbal abuse.